At-Home Treatments for Cerebrospinal Fluid (CSF) Leaks

What is a CSF leak?

The brain and spinal cord are protected by three membranes (meninges). When the outermost layer of the meninges, the dura, is injured or punctured — often as a result of a head injury, certain medical procedures, or an increase of pressure in the skull — a cerebrospinal fluid (CSF) leak may occur. Cerebrospinal fluid is a clear liquid that flows in and around the brain and spinal cord to protect them from injury and to transfer nutrients.

Cerebrospinal fluid leaks are categorized according to the location of the leak: Spinal CSF leaks originate from the dura around the spinal column, whereas cranial CSF leaks originate from the dura around the skull. Symptoms of a CSF leak vary and may include headache, tinnitus, nasal or ear drainage, changes in vision, dizziness, nausea or vomiting, and/or behavioral changes.

At-home treatments

Conventional medical treatments for CSF leaks are sometimes required; however, in some cases, at-home treatment may be recommended in addition to conventional treatments or even as stand-alone treatment. It’s important to note that if a CSF leak is suspected, a health care provider should be consulted regarding appropriate treatment measures.

Home care

• A period of bed rest with the head elevated may be recommended to help heal the leak.
• Proper hydration is important during recovery, as fluid is being lost.
• Drinking caffeinated beverages may help stop or slow the leak.

Medications

• Medications for pain and inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may be recommended.
• Stool softeners may be recommended to reduce straining during bowel movements.

Additional source: VeryWell Health